CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Intermountain Health Riverton Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $2,094
  • Cash Discount Price: $3,703
  • vs. Medicare Baseline: 2.39x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Intermountain Health Riverton Hospital is $2,094. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,703. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.39x the Medicare baseline. Located in 3741 West 12600 South, Riverton, UT.
Cash / Self-Pay
$3,703

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,094

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $3,703 (422%)
Insurance Median: $2,094 (239%)
Cash: $3,703 (422% of Medicare)
Ins. Median: $2,094 (239% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 239% of the Medicare baseline (a markup of 139%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $115 - $4,197 13%
American Health $115 - $875 13%
Blue Cross Blue Shield $115 - $3,753 13%
Health Partners Of Nevada $115 - $841 13%
Health Plan Of Nevada $115 - $1,481 13%
Healthy U $115 - $696 13%
Humana $115 - $883 13%
Molina $115 - $925 13%
Selecthealth $115 - $2,499 13%
UnitedHealthcare $115 - $4,197 13%
Donor Connect $178 - $1,249 20%
Triwest $975 111%
Intermountain Caregiver Plan $1,658 - $2,380 189%
Awh Connected $1,942 - $3,185 221%
Byu Athletics $1,942 - $3,555 221%
Campbell Scientific $1,942 - $3,555 221%
Deseret Mutual $1,942 - $2,839 221%
Emi $1,942 - $2,666 221%
Emi Health $1,942 - $3,427 221%
Franklin County $1,942 - $3,555 221%
Ifit $1,942 - $3,555 221%
Juniper Systems $1,942 - $3,555 221%
Lw Miller $1,942 - $3,555 221%
Pehp $1,942 - $4,395 221%
Tanner Llc $1,942 - $3,555 221%
Utah Tech $1,942 - $3,555 221%
Cigna $3,111 - $4,197 355%
Byu Risk Management $3,457 - $3,605 394%
Corporation Of The President $3,457 - $3,605 394%
Wcf Insurance $3,457 - $3,605 394%
Corvel Corporation $3,555 405%
Injury Care Of Nevada $3,703 422%
Managed Care Admin $3,852 439%
Prodegi Corp Benefit $4,049 462%
Uofu $4,049 462%
Springtide $4,098 467%
Global Excel $4,197 478%
Medcare International $4,197 478%
Motivhealth $4,197 478%
Wise Network $4,197 478%
Hygeia Corporation $4,444 507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3741 West 12600 South, Riverton, UT 84065
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals